Temporary Orbicular Oculi Palsy After Radio-Frequency Assisted Liposuction (RFAL) Combined with Transconjunctival Lower Blepharoplasty: Case Report and Systematic Review of Complication.

IF 2 3区医学 Q2 SURGERY

Aesthetic Plastic Surgery Pub Date : 2025-05-27 DOI:10.1007/s00266-025-04901-0

Xiaoshuang Guo, Mengle Yan, Minghao Zhao, Panxi Yu, Jianjian Lu

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引用次数: 0

Abstract

Background: Radio-frequency assisted liposuction (RFAL) is a minimally invasive procedure that harnesses the subcutaneous fat and fascia for thermal skin tightening and subcutaneous tissue remodeling. It has gradually become an ancillary procedure to excisional facial surgeries, such as facelift, liposuction, and blepharoplasty. This study aims to report and summarize the complications of RFAL combination therapy.

Methods: We reported two unusual cases of temporary orbicular oculi muscle palsy, asymmetry of blinking, and opthalmospasm after transconjunctival lower blepharoplasty combined with RFAL. In addition, we performed a systematic review of the English literature on complications of RFAL combination therapy.

Results: The bibliographic search retrieved 16 studies involving 1181 cases conducting ancillary RFAL in the face and neck and retrieved 27 studies involving 2522 cases conducting RFAL in body contouring. The overall complication rate for the RFAL procedure is 5% (range 2-10%) in the face and neck and 9% (range 5-15%) in body contouring. Periocular nerve injury has not been reported before; however, marginal mandibular neuropraxia is around 0.9% (range from 0 to 4.6%), and deep burn has been reported independently as case series. No complication of RFAL/transconjunctival lower blepharoplasty combination therapy has been reported due to a lack of relevant studies.

Conclusions: RFAL is an ancillary procedure for mild to moderate skin laxity with an acceptable complication rate. However, the protection of motor nerves during RFAL and transconjunctival lower blepharoplasty should always be considered. The suitable energy delivered and rational access incision ports are all necessary for a safe outcome.

Level of evidence iii: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

查看原文本刊更多论文

射频辅助吸脂联合经结膜下睑成形术后暂时性眼轮匝麻痹：1例报告及并发症的系统回顾。

背景：射频辅助吸脂术（RFAL）是一种微创手术，利用皮下脂肪和筋膜进行热皮肤收紧和皮下组织重塑。它已逐渐成为一种辅助手术的切除面部手术，如面部拉皮，吸脂，和眼睑成形术。本研究旨在报道和总结射频消融术联合治疗的并发症。方法：我们报告了2例经结膜下睑成形术联合ral术后出现暂时性眼轮匝肌麻痹、眨眼不对称、眼球痉挛的罕见病例。此外，我们对ral联合治疗并发症的英文文献进行了系统回顾。结果：文献检索检索到16项研究，涉及1181例面部和颈部辅助射频消融，检索到27项研究，涉及2522例身体轮廓射频消融。RFAL手术在面部和颈部的总并发症发生率为5%（范围2-10%），在身体轮廓的并发症发生率为9%（范围5-15%）。眼周神经损伤未见报道；然而，边缘下颌神经失用症约为0.9%（范围从0到4.6%），深度烧伤已被独立报道为病例系列。由于缺乏相关研究，RFAL/经结膜下睑成形术联合治疗未见并发症报道。结论：RFAL是轻度至中度皮肤松弛的辅助手术，并发症发生率可接受。然而，在RFAL和经结膜下睑成形术中，运动神经的保护应始终被考虑。适当的能量输送和合理的入路切口是保证手术安全的必要条件。证据等级iii：本刊要求作者为每篇文章指定证据等级。有关这些循证医学评级的完整描述，请参阅目录或在线作者说明www.springer.com/00266。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Aesthetic Plastic Surgery 医学-外科

CiteScore

4.40

自引率

25.00%

发文量

479

审稿时长

3 months

期刊介绍： Aesthetic Plastic Surgery is a publication of the International Society of Aesthetic Plastic Surgery and the official journal of the European Association of Societies of Aesthetic Plastic Surgery (EASAPS), Società Italiana di Chirurgia Plastica Ricostruttiva ed Estetica (SICPRE), Vereinigung der Deutschen Aesthetisch Plastischen Chirurgen (VDAPC), the Romanian Aesthetic Surgery Society (RASS), Asociación Española de Cirugía Estética Plástica (AECEP), La Sociedad Argentina de Cirugía Plástica, Estética y Reparadora (SACPER), the Rhinoplasty Society of Europe (RSE), the Iranian Society of Plastic and Aesthetic Surgeons (ISPAS), the Singapore Association of Plastic Surgeons (SAPS), the Australasian Society of Aesthetic Plastic Surgeons (ASAPS), the Egyptian Society of Plastic and Reconstructive Surgeons (ESPRS), and the Sociedad Chilena de Cirugía Plástica, Reconstructiva y Estética (SCCP). Aesthetic Plastic Surgery provides a forum for original articles advancing the art of aesthetic plastic surgery. Many describe surgical craftsmanship; others deal with complications in surgical procedures and methods by which to treat or avoid them. Coverage includes "second thoughts" on established techniques, which might be abandoned, modified, or improved. Also included are case histories; improvements in surgical instruments, pharmaceuticals, and operating room equipment; and discussions of problems such as the role of psychosocial factors in the doctor-patient and the patient-public interrelationships. Aesthetic Plastic Surgery is covered in Current Contents/Clinical Medicine, SciSearch, Research Alert, Index Medicus-Medline, and Excerpta Medica/Embase.